Nurs 3000 final Exam Questions And
Answers Already Graded A+
When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will
need to investigate further upon assessing which of the following findings?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds CORRECT ANSWERS QRS interval of 0.14 second
Unconsciousness without response to painful stimuli is assessed in a client with a head
injury who has been admitted to the emergency department. To promote cerebral blood
flow in the client, initially what is the most important for the nurse to monitor?
a. Arterial blood pressure
b. Arterial blood gas results
c. Respiratory rate
d. Level of consciousness CORRECT ANSWERS Respiratory rate
A nurse is obtaining a health history from a client with a prosthetic mitral valve who has
symptoms of infective endocarditis (IE). Which of the following questions by the nurse is
best?
a. "Have you had any recent immunizations?"
b. "Do you have a history of heart attack?"
c. "Have you been to the dentist lately?"
d. "Do you have a family history of endocarditis?" CORRECT ANSWERS "Have you
been to the dentist lately?"
Which of the following assessment data obtained by the nurse when assessing a client
with acute pericarditis should be reported immediately to the health care provider?
a. Blood pressure (BP) of 146/86
b. Jugular vein distension (JVD) to the level of the jaw
c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep inspiration CORRECT ANSWERS b. Jugular vein
distension (JVD) to the level of the jaw
The nurse is interpreting an ECG strip to determine whether there is a delay in impulse
conduction through the atria. Which of the following components of an ECG strip should
the nurse interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval CORRECT ANSWERS P wave
,Which of the following actions should the nurse take first when a client arrives in the
emergency department with facial and chest burns caused by a house fire?
a. Infuse the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine the extent and depth of the burns
d. Administer the ordered opioid pain medications CORRECT ANSWERS Auscultate
the client's lung sounds
The nurse is caring for a client who has had recent cardiac surgery and develops
pericarditis, with symptoms of chest pain at a level 6 (0-10 scale) when inhaling deeply.
Which of the following prescribed PRN medications should the nurse administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO CORRECT ANSWERS Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends administeing a 30mL/kg bolus of crystalloid IV
fluids to treat:
a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure CORRECT ANSWERS Hypotension
The nurse is caring for a patient with diabetic ketoacidosis. Which arterial blood gas
analysis is consistent with this type of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18 CORRECT ANSWERS pH 7.28, PaCO2 58, HCO-3
38
The nurse is caring for a client following an incisional cholecystectomy for cholelithiasis.
Which of the following actions is priority for the nurse to implement?
a. Ambulate the evening of the operative day
b. Turn, cough, and deep breath every 2 hours
c. Client education about low-fat food choices
d. Perform leg exercises hourly while awake CORRECT ANSWERS Client education
about low-fat food choices
Which of the following findings in a client with infective endocarditis (IE) is the most
important for the nurse to communicate to the health care provider?
a. Janeways lesions on the palms
b. Temperature of 38.1 degrees celcius CORRECT ANSWERS Janeways lesions on
the palms
, Name each factor that is a part of Virchow's Triad and provide one example for each
factor that could lead to a venous thrombosis. CORRECT ANSWERS 1. Venous stasis:
prolonged immobility
2. Endothelial injury: trauma, surgery of abdomen or pelvis
3. Hypercoagulability of blood: malnutrition or dehydration
The nurse is caring for a client who underwent a left total knee arthroplasty. On the third
postoperative day, the client has symptoms of shortness of breath, slight chest pain and
that "something is wrong". Temperature is 36.9, blood pressure 130/88 mm Hg,
respirations 36 breaths/minute and oxygen saturation 91% on room air. Which of the
following actions should the nurse take first?
a. Conduct a thorough assessment of the chest pain
b. Administer a nitroglycerine tablet sublingually
c. Notify the health care provider
d. Sit the client up in bed as tolerated and apply oxygen CORRECT ANSWERS Sit the
client up in bed as tolerated and apply oxygen
The nurse is admitting a client with possible acute pericarditis. Which of the following
diagnostic assessments should the nurse plan to teach the client about?
a. Electrolyte levels
b. Cardiac catheterization
c. Daily blood cultures
d. Echocardiography CORRECT ANSWERS Echocardiography
The nurse is caring for a patient with an electrical burn injury. Which arterial blood gas
analysis would alert the nurse to problem consistent with this type of injury?
a. pH 7.30, PaCO2 31, HCO-3 19
b. pH 7.49, PaCO2 32, HCO-3 22
c. pH 7.28, PaCO2 58, HCO-3 38
d. pH 7.51, PaCO2 51, HCO-3 37 CORRECT ANSWERS pH 7.28, PaCO2 58, HCO-3
38
The nurse is providing discharge instructions to a patient who recovered from
hyperglycemic hyperosmolar non-ketotic syndrome (HHNS). Which statement by the
patient requires additional teaching about this condition?
a. "This condition happens suddenly without any warning signs."
b. "I will monitor my blood glucose levels regularly."
c. "It is important I take my medications as prescribed."
d. "If I become sick, I will monitor my blood glucose more frequently and drink lots of
fluids." CORRECT ANSWERS "This condition happens suddenly without any warning
signs."
In the first 24 hours after a traumatic head injury, what is the most significant factor in
poor outcomes and increased morbidity (death)?
a. Hyperglycemia
b. Hypotension
Answers Already Graded A+
When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will
need to investigate further upon assessing which of the following findings?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds CORRECT ANSWERS QRS interval of 0.14 second
Unconsciousness without response to painful stimuli is assessed in a client with a head
injury who has been admitted to the emergency department. To promote cerebral blood
flow in the client, initially what is the most important for the nurse to monitor?
a. Arterial blood pressure
b. Arterial blood gas results
c. Respiratory rate
d. Level of consciousness CORRECT ANSWERS Respiratory rate
A nurse is obtaining a health history from a client with a prosthetic mitral valve who has
symptoms of infective endocarditis (IE). Which of the following questions by the nurse is
best?
a. "Have you had any recent immunizations?"
b. "Do you have a history of heart attack?"
c. "Have you been to the dentist lately?"
d. "Do you have a family history of endocarditis?" CORRECT ANSWERS "Have you
been to the dentist lately?"
Which of the following assessment data obtained by the nurse when assessing a client
with acute pericarditis should be reported immediately to the health care provider?
a. Blood pressure (BP) of 146/86
b. Jugular vein distension (JVD) to the level of the jaw
c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep inspiration CORRECT ANSWERS b. Jugular vein
distension (JVD) to the level of the jaw
The nurse is interpreting an ECG strip to determine whether there is a delay in impulse
conduction through the atria. Which of the following components of an ECG strip should
the nurse interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval CORRECT ANSWERS P wave
,Which of the following actions should the nurse take first when a client arrives in the
emergency department with facial and chest burns caused by a house fire?
a. Infuse the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine the extent and depth of the burns
d. Administer the ordered opioid pain medications CORRECT ANSWERS Auscultate
the client's lung sounds
The nurse is caring for a client who has had recent cardiac surgery and develops
pericarditis, with symptoms of chest pain at a level 6 (0-10 scale) when inhaling deeply.
Which of the following prescribed PRN medications should the nurse administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO CORRECT ANSWERS Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends administeing a 30mL/kg bolus of crystalloid IV
fluids to treat:
a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure CORRECT ANSWERS Hypotension
The nurse is caring for a patient with diabetic ketoacidosis. Which arterial blood gas
analysis is consistent with this type of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18 CORRECT ANSWERS pH 7.28, PaCO2 58, HCO-3
38
The nurse is caring for a client following an incisional cholecystectomy for cholelithiasis.
Which of the following actions is priority for the nurse to implement?
a. Ambulate the evening of the operative day
b. Turn, cough, and deep breath every 2 hours
c. Client education about low-fat food choices
d. Perform leg exercises hourly while awake CORRECT ANSWERS Client education
about low-fat food choices
Which of the following findings in a client with infective endocarditis (IE) is the most
important for the nurse to communicate to the health care provider?
a. Janeways lesions on the palms
b. Temperature of 38.1 degrees celcius CORRECT ANSWERS Janeways lesions on
the palms
, Name each factor that is a part of Virchow's Triad and provide one example for each
factor that could lead to a venous thrombosis. CORRECT ANSWERS 1. Venous stasis:
prolonged immobility
2. Endothelial injury: trauma, surgery of abdomen or pelvis
3. Hypercoagulability of blood: malnutrition or dehydration
The nurse is caring for a client who underwent a left total knee arthroplasty. On the third
postoperative day, the client has symptoms of shortness of breath, slight chest pain and
that "something is wrong". Temperature is 36.9, blood pressure 130/88 mm Hg,
respirations 36 breaths/minute and oxygen saturation 91% on room air. Which of the
following actions should the nurse take first?
a. Conduct a thorough assessment of the chest pain
b. Administer a nitroglycerine tablet sublingually
c. Notify the health care provider
d. Sit the client up in bed as tolerated and apply oxygen CORRECT ANSWERS Sit the
client up in bed as tolerated and apply oxygen
The nurse is admitting a client with possible acute pericarditis. Which of the following
diagnostic assessments should the nurse plan to teach the client about?
a. Electrolyte levels
b. Cardiac catheterization
c. Daily blood cultures
d. Echocardiography CORRECT ANSWERS Echocardiography
The nurse is caring for a patient with an electrical burn injury. Which arterial blood gas
analysis would alert the nurse to problem consistent with this type of injury?
a. pH 7.30, PaCO2 31, HCO-3 19
b. pH 7.49, PaCO2 32, HCO-3 22
c. pH 7.28, PaCO2 58, HCO-3 38
d. pH 7.51, PaCO2 51, HCO-3 37 CORRECT ANSWERS pH 7.28, PaCO2 58, HCO-3
38
The nurse is providing discharge instructions to a patient who recovered from
hyperglycemic hyperosmolar non-ketotic syndrome (HHNS). Which statement by the
patient requires additional teaching about this condition?
a. "This condition happens suddenly without any warning signs."
b. "I will monitor my blood glucose levels regularly."
c. "It is important I take my medications as prescribed."
d. "If I become sick, I will monitor my blood glucose more frequently and drink lots of
fluids." CORRECT ANSWERS "This condition happens suddenly without any warning
signs."
In the first 24 hours after a traumatic head injury, what is the most significant factor in
poor outcomes and increased morbidity (death)?
a. Hyperglycemia
b. Hypotension
